| NPI | 1194713164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X (Licence: CO DR-42841) |
| Additional Taxonomies | 2084P0805X (Licence: KY 52051) |
| 2084P0805X (Licence: OH 35C.003620) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2026-02-19 |